NATHAN JUDD M.S. - NPI 1386876746 - Counselor in Pinson, TN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Nathan Judd M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JUDD M.S. (NPI 1386876746) is an individual professional provider in Pinson, Tennessee, licensed in Tennessee (2832) and active in the NPI registry since August 2009. He maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1386876746

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameNATHAN JUDDCredential: M.S.

Location Address3641 YOUTH TOWN RDPinson, TN 38366-9804

Mailing AddressPo Box 1385Jackson, TN 38302-1385 · (731) 988-5251 · Fax (731) 427-5605

Phone(731) 988-5251

Fax(731) 427-5605

Sole ProprietorYes

Enumeration DateAugust 19, 2009

Last NPPES UpdateOctober 8, 2020

NPPES CertifiedOctober 8, 2020

✔ NPI 1386876746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 2832

Also ListedCounselorTaxonomy 101Y00000X

3641 YOUTH TOWN RD, Pinson, TN 38366

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Secondary Practice Location 1

Location 1116 W Main StHenderson, TN 38340-2231 · Phone (731) 988-6589

Other Identifiers 1

Medicaid1527990TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBIE COLEY M.S

Counselor